Several disease have been associated with hepatitis C virus infections
, including rheumatologic, hematologic and neoplastic disorders. We re
port two women, aged 57 and 39 years old whom the initial presentation
of hepatitis C virus infection was an arthritis resembling rheumatoid
arthritis. Laboratory work up revealed abnormal liver function tests,
stimulating the search for hepatitis C virus infection, having both p
atients positive ELISA tests. Detection of this agent is extremely imp
ortant when selecting a therapy for the articular disease, since sever
al drugs used in the treatment of rheumatic disorders are potentially
hepatotoxic and immunosuppression is risky in the setting of a viral h
epatitis.